Magee Womens Hospital of UPMC Health System
An acute care hospital in Pittsburgh, Pennsylvania 15213
300 Halket Street, Pittsburgh, Pennsylvania 15213. (412) 641-4010.
- Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 363 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Jul 7, 2026: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Jul 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jul 7, 2026: complaint inspection1 deficiency
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Patient Rights: Care In Safe Setting
The inspectors’ words, 574 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 46390 Based on review of facility documents, medical records (MR), and staff interview (EMP), it was determined the facility failed to ensure that good quality and high professional standards of care were provided to patients and failed to ensure patient’s cardiac status was being monitored at all time for one of 10 medical records reviewed (MR1). Findings include: On July 2, 2026, a review of the”Telemetry Monitor Policy” revealed, “It is the policy to provide standardized, consistent care of patients undergoing continuous cardiac rhythm monitoring. When a patient’s clinical condition warrants the need for cardiac monitoring, UPMC nursing will utilize the type of monitoring necessary... Interpretation of cardiac rhythm waveforms is the responsibility of trained personnel... b. Monitor Association. ... 4. Confirm monitor is in view in all necessary locations. ... 3. ALARM MANAGEMENT. ...2. When a critical alarm is triggered, the technology will be configured and utilized in a manner that requires caregivers to evaluate the patient at the point of care. 4. CARDIAC MONITOR NURSING DOCUMENTATION a. Electronic Health Record Documentation 1. The patient’s cardiac rhythm waveform will be documented at transition or handover of care personnel and with any condition change that requires provider notification. b. Printed Cardiac Rhythm Waveform Documentation 1. Cardiac Rhythm will be captured upon admission to the designated area and with any condition change that requires provider notification”. ... On July 2, 2026, a review of the “Alarm Management Policy” revealed, “It is the policy of UPMC to comply with the requirements of The Joint Commission(TJC) or other applicable accrediting bodies and performance improvement philosophy to ensure quality and safe care for patients. ... UPMC’s management of alarms will address the following: 7. Monitoring and responding to alarm signals 8. Checking individual alarm signals for accurate settings, proper operation, and detectability”... On July 2, 2026, a review of the “Assessment of Patients Policy” revealed, “The care and/or treatment provided to each patient is individualized based upon a determination of the patient’s needs. ...II. Reassessment C. Each patient is reassessed throughout the episode of care consideration ... 2. To determine the patient’s course of treatment. 3. When a significant change occurs in the patient’s diagnosis or condition, or when a major life event occurs that may complicate or influence treatment modalities”. ... On June 19, 2026, a review of MR1 revealed that the patient presented to the hospital and was ordered continuous cardiac monitoring. On June 23, 2026, between 7:35 AM and 8:00 AM, a review of facility documents revealed that the patient became disconnected from the cardiac monitor. At approximately 8:00 AM, a patient care technician found the patient unresponsive in the patient’s room. CPR was started and a code was called. At 8:17 AM life saving interventions ceased. A review of MR1 revealed that on June 23, 2026, at 8:30 AM, the physician Event documentation stated, “[the patient] had been off the telemetry monitor prior to the event for unclear reasons”. On July 2, 2026, at 1:15 PM, EMP5 confirmed that staff caring for MR1 did not follow the facility’s Telemetry Monitoring Policy, Alarm Management Policy, and Assessment Policy. On July 6, 2026, at 11:20 AM, EMP3 confirmed that there was no evidence in MR1 that the patient had been seen, assessed, or evaluated as per facility policies.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 7, 2026 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 4; safety of care, 0 better and 0 worse of 8; readmission, 1 better and 1 worse of 8.
- Patients rate it 3 of 5 in CMS’s patient survey (368 surveys completed, Oct 1, 2024 to Sep 30, 2025): 73% rated it 9 or 10 out of 10, and 78% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart failure 11.1%, pneumonia 15.6%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart failure 21%, pneumonia 16.6%, COPD 18.4%, hip or knee replacement 4.9%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 200 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 79% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.02 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - other.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Other.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Medicare payment reduction (HAC Reduction Program) | Fiscal year 2026: 1% of Medicare payments |
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
- 85% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- UPMC owns 100% directly since Apr 2, 2000.
- 28 owners or officers are people: Michael Sweeney (corporate director, 0%); Jamie L Lesnock (corporate director, 0%); Rose Almon-Martin (corporate officer, 0%); Rose Almon-Martin (corporate director, 0%); Leslie Davis (corporate director, 0%); Mark Aloe (corporate director, 0%); Peter Eisenbrandt (corporate officer, 0%); Peter Eisenbrandt (corporate director, 0%); Anita P Courcoulas (corporate director, 0%); Kelly Gray (other role (CMS gives no detail), 0%); Kathy Mayle-Towns (corporate director, 0%); Isabelle Bajeux Besnainou (other role (CMS gives no detail), 0%); Jennifer L Kloesz (other role (CMS gives no detail), 0%); Jonathan Petrie (corporate officer, 0%); Jonathan Petrie (managing employee (on the payroll), 0%); Richard Hassan Beigi (managing employee (on the payroll), 0%); Richard Hassan Beigi (other role (CMS gives no detail), 0%); Kathryn L Berlacher (other role (CMS gives no detail), 0%); Margaret Joy (corporate director, 0%); Michele Atkins (corporate director, 0%); Anantha Shekhar (corporate director, 0%); Robert P Edwards (corporate director, 0%); Debra Barbarita (corporate director, 0%); Gabriella G Gosman (corporate director, 0%); Jamie M Wright (corporate director, 0%); Dennis H English (corporate director, 0%); Sarah Meehan (corporate director, 0%); William Pietragallo (corporate director, 0%).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| UPMC | Owns 5% or more directly | 100% | Apr 2, 2000 |
How does it compare nearby?
- Of the 18 hospitals CMS lists in Allegheny County, 16 have an overall star rating from CMS: 1 rated 5 of 5, 10 rated 4 of 5, 5 rated 3 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.